DR. MARK JEREMY KULBIEDA (M.D.) – Anesthesiology Physician, NPI 1922038058

DR. MARK JEREMY KULBIEDA (M.D.) is a healthcare provider. based in Petoskey, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301079164 (MI). The NPI Number for DR. MARK JEREMY KULBIEDA (M.D.) is 1922038058

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK JEREMY KULBIEDA (M.D.)
NPI
1922038058
Phone
(231) 348-2795
Address
602 JACKSON ST
Enumeration Date
4 July 2006
Last Update Date
21 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
2314874000
Graduation Year
1997 (29 years ago)
PAC ID
8527249937
Group Practice PAC ID
4789579863
Professional Enrollment ID
I20110217000799
Address ID
MI497702212PE416XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

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Provider Addresses for DR. MARK JEREMY KULBIEDA (M.D.)

  • 602, Jackson Street, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 497702220

    Phone: (231) 348-2795

    Fax: (231) 348-2031

    Type: Mailing

  • McLaren Northern Michigan, 416, Connable Avenue, Petoskey, Emmet County, Michigan, 49770, United States

    PETOSKEY, MI 497702212

    Phone: (231) 348-2795

    Fax: (231) 348-2031

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-02-14 • Largest payer in this snapshot: Heron Therapeutics, Inc. ($42).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110217000799IAnesthesiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5656$0
00812Anesthesia for exam of colon using an endoscope5050$0
36620Insertion of artery tube for blood sampling or infusion through skin3333$0
00811Anesthesia for other procedure on large bowel using an endoscope2828$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 49770)

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Provider's Procedures

DR. MARK JEREMY KULBIEDA (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMI01402Anesthesia for open or endoscopic total knee joint replacement1515
ANESTHESIOLOGYMI36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin5150

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789579863View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Interventional Pain ManagementMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I verify DR. MARK JEREMY KULBIEDA (M.D.) with an NPI only?
You can start verification with NPI 1922038058 for DR. MARK JEREMY KULBIEDA (M.D.), then check state licensing separately.
Does the file indicate DR. MARK JEREMY KULBIEDA (M.D.) is practicing under active NPI?
Directory data currently reports DR. MARK JEREMY KULBIEDA (M.D.) as active.
What is DR. MARK JEREMY KULBIEDA (M.D.)'s specialty?
The listing groups DR. MARK JEREMY KULBIEDA (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MARK JEREMY KULBIEDA (M.D.) based?
DR. MARK JEREMY KULBIEDA (M.D.) is tied to Petoskey, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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